Treating ankylosing spondylitis

Medication: There are different kinds of medications you can choose from, with some help from your doctor. The most commonly used kind is the NSAIDs (nonsteroidal anti-inflammatory drugs). These are also the primary medication offered to patients. The secondary medication, "second-line medications"are disease modifying anti-rheumatic drugs (DMARDs). They are normally prescribed for other kinds of arthritis, but have proven beneficial if peripheral joints are involved, rather than the spine. The treatment of AS is constantly being researched and recently a new treatment has emerged, the TNF blockers (biologics). Previously it has been difficult to treat spinal arthritis, but this new type of medicine reaches both joint- and spinal arthritis.

Exercise : Exercising is important to anyone who wants to lead a more healthy lifestyle. For patients with ankylosing spondylitis, exercising is particularly important since it relieves pain and keeps you mobile. Some patients struggle with the exercises because they are in too much pain, but in the long run you will be doing better if you stick to the exercises. There are triple benefits.

1: It can help you maintain good posture (which can be challenging with AS)
2: It fights the AS stiffness and keep your joints flexible
3: It will help ease the pain

Quick-fixes: If you are in dire need of pain relief, hot and cold water respectively, can help you. By applying heat to stiff joints and sore muscles, it helps them become relaxed and so it can reduce pain and tightness. If you struggle with inflammation and swelling, you can use cold water to decrease the swelling.

Surgery: In the very severe cases of ankylosing spondylitis, surgery could be an option. Joint replacements in hips and knees are very common in these cases. For the few patients who experience spinal fusion (growth of extra bone on the spine, causing a forward-curved back), it is possible to undergo surgical corrections.